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In page LGBTQ rights in Russia:
"A certificate of gender change required to change person's gender in documents such as a birth certificate and passport, and can be obtained on the basis of a medical commission consisting of a psychiatrist, a sexologist and a medical psychologist. Neither sex-affirmative surgery nor hormone replacement therapy are required. The minimum duration of psychiatric observation is not specified in the final document of the Ministry of Health.[7][8] On average, the commission lasts from 2 days to 1 month.[citation needed]
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